| NPI | 1992321301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN HARDEN CEO 770-309-9417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2022-08-30 |